Individual
DR. MICHELE SPENCER-MANZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 785-2660
(203) 785-3404
Mailing address
333 CEDAR ST, NEW HAVEN, CT 06510-3206
(203) 785-2660
(203) 785-3404
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
122192
NC
207SG0201X
Clinical Genetics (M.D.) Physician
122192
NC
207SG0202X
Clinical Biochemical Genetics Physician
Primary
2008-01116
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5909828
—
NC
Enumeration date
04/28/2008
Last updated
01/17/2023
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